Thanks For the Premium, No Doctor Will See You Now.

Comment: Congratulations!  You forked over enough in Obamacare premiums to buy a goldmine, but your doctor’s getting the shaft. It’s no wonder Americans all over are hearing “The doctor won’t see you now.”

“Over 214,000 doctors won’t participate in the new plans under the Affordable Care Act (ACA,) analysis of a new survey by Medical Group Management Association shows. That number of 214,524, estimated by American Action Forum, is through May 2014, but appears to be growing due to plans that force doctors to take on burdensome costs. It’s also about a quarter of the total number of 893,851 active professional physicians reported by the Kaiser Family Foundation.”

“In January, an estimated 70% of California’s physicians were not participating in Covered California plans.”

“Here are some of the reasons why:

1. Reimbursements under Obamacare are at bottom-dollar – they are even lower than Medicare reimbursements, which are already significantly below market rates. “It is estimated that where private plans pay $1.00 for a service, Medicare pays $0.80, and ACA exchange plans are now paying about $0.60,” a study by the think-tank American Action Forum finds.

Over 214,000 Doctors Opt Out of Obamacare Exchanges
October 28, 2014, By Barbara Boland

Posted in Declining Quality of Care, Designed to Fail, Government Takeover, Perversities, Uncategorized | Tagged , , , , , , , | Comments Off

Paying More, But Getting Less

Comment: Synopsis–health care spending rose significantly thanks to Obamacare even though Americans used fewer services.

OCTS notes that We the People were told Obamacare was needed for legions of underserved people to finally get needed care. Since total use went down, we can only conclude that either those people did not have a pent-up need for medical care, or Obamacare hasn’t allowed them to get it.

Either way, we rate this “promise broken,” and costs are soaring, another promise broken.

“If you went to the doctor less or used fewer prescription drugs last year, but were surprised to learn that your health-care spending still went up, you’re not alone.”

“Spending per enrollee in employer-sponsored health plans—in other words, most Americans—grew an average of 3.9 percent in 2013, despite the fact that people were using less medical services overall, a new report out Tuesday reveals.”

“The relatively moderate growth for health-care costs would have been more dramatic if people with employer-based insurance had used the same amount or even more such services than they did last year.

We’re using less health care—but it’s costing more
by Dan Mangan, Tuesday, 28 Oct 2014

Posted in Declining Quality of Care, Designed to Fail, Perversities, Uncategorized | Tagged , , , , , , , , | Comments Off

$840 Million More for Pigs at the Trough

Comment:  Obamacare is about to bring us more Oversized-Government central planning in action. One critic has noted that the way this is being done favors established players, which makes this program a dream come true for old-line cronies.

Would this be funded if there were no deficit spending and the government had to live within its means?

HHS announced that it will provide up to $840 million over four years to improve care quality and efficiency and share best practices among providers….”

“The goal of the Transforming Clinical Practice Initiative is to help providers identify ways of improving quality of care and quickly spread those findings across the U.S. health system through the creation of physician networks….”

“HHS said strategies to improve quality of care and reduce costs under the initiative could include:

  • Expanding the use of electronic health records;
  • Enhancing care coordination among providers; and
  • Increasing opportunities for patients to communicate with their physicians….”

HHS Announces $840M Initiative To Improve Care, Reduce Costs

October 24, 2014

 


 

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Who Needs Privacy?

Comment: Great news poor people–now health care clinics will know exactly how poor you are.  In fact, they’ll know enough about your finances and personal affairs to sign you up for food stamps, too!  While you’re busy putting on that gown , now they can see your bare backside and your financial status naked too!  Thanks for the privacy Obamacare!

“When clinics reach out to those who are uninsured, they’ll now be able to assist with determining eligibility of both health coverage and food stamps in less than 90 seconds.”

Food stamp eligibility to be utilized alongside Obamcare enrollment software in Calif.
IFAwebnews Staff, October 21, 2014

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Top Tweets – Lies, Damned Lies & Statistics

Follow us @ObamacreTrthSqd
Now tweeting links

Our story last week – “Lying Congress-Weasels Illegally Obtain Obamacare Small Business Benefits” – set the stage:  Obamacare supporters lied about everything and they’re still lying.

Obama’s lies about #ACA’s ‘$1,800 tax cut’ get Two Pinocchios from WaPo

Senate committee ‘#ACA will add to deficit’ report credible given shaky revenues and fantasyland ‘savings’ [LIE: ‘Obamacare will reduce the deficit’]

Shaheen shamelessly repeats Democrat lie #Obamacare did not cut Medicare (it did, by $716B)

If Dems want to ‘fix’ #Obamacare, why did the Senate adjourn without considering House bills?

Cost estimates for Medicare and DSH low-balled true expense by factors of 9 and 17 to 1.

Docs unhappy with #ACA: 46% grade it ‘D’ or ‘F’, 44% cutting services (another #ACA lie – ‘will improve access’)

“#ObamaCare is a fantastic example of how abject failure can be portrayed as success, provided the costs are completely ignored.”

Minnesota’s biggest insurer catapults rates 63%; misrepresent by announcing 4.5% increase?

$30 billion later, feds say they need 10 YRS to fix EHRs (and u want more gov’t in your life? Why?)

7 million people have had plans cancelled (7M down, 86M to go – how do you lie to 93 million people?)

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Obamacare’s “Sub-Standard Plans” Plan

Comment: Remember those plans the President said he cancelled because they were “sub-standard,” issued by “bad apple” insurance companies?  You know, horrible plans that didn’t cover maternity care for a man, or preventive udder coverage for a steer?

You’ll be glad to know Obamacare’s rules approve employer plans with NO hospitalization. (Gee thanks, O-nonpolitical government-”care”! Great job of keeping down rate-hikes until after the election, all you lying Obamacare-bureaucrats!!)

Insurance consultants were shocked recently to learn that Obama administration rules allow large companies to offer 2015 worker health plans that don’t include hospital benefits.

[...]Offering minimum-value insurance at an affordable price spares companies from fines of as much as $3,120 per worker next year.”

“As previously reported by Kaiser Health News and the Washington Post, industry executives were surprised this summer to see consultants selling calculator-approved plans that lack hospital insurance and cost half as much as similar coverage with hospitalization.

Administration signals doubts about calculator permitting health plans without hospital benefits
By Jay Hancock, October 20, 2014

Posted in Declining Quality of Care, Government Takeover, Perversities, Uncategorized | Tagged , , , , , , , , , , | Comments Off

Political Fallout: Obamacare Fiasco Threatens Oregon Governor

Comment: Voters are finally finding out what’s in this law, and they’re not happy.

[Oregon Governor] Kitzhaber’s pedestal was already beginning to fracture last October under the weight of the failed Cover Oregon health insurance website. Rather than the triumphant victor, Kitzhaber now finds himself running for re-election as the battered incumbent, on the defensive about Cover Oregon, education and even his fiancee.

Yes We Can!

[...]

That [pension] success was quickly overshadowed by the failure of Cover Oregon, the state’s health insurance exchange. The state received $300 million from the federal government, much of which was to be used to build a website that would allow people to shop for health insurance and enroll online. It never worked.

Another $300 million well-spent! (But then honestly which would you rather have for your $300 million, an Ebola vaccine or another failed, cr@ppy government website? A broken website, of course! Hooray Obamacare!)

A fourth term after this disaster? Really? You got some nerve, Kitzhaber.

Oregon voters, just remember, people get the government they deserve.

Kitzhaber embattled as he seeks 4th term
By JONATHAN J. COOPER, Associated Press
Saturday, October 18, 2014

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Obamacare Consumers–Did You Read the Fine Print?

Comment: Here’s the Obamacare shell game–the administration advertises an attractive premium to make consumers think they’re getting a good deal, then hides the deductible, network limits, prescription restrictions, and co-pays in the fine print.  The net, calculated result is that Obamacare charges you more, and covers less than you think. Caveat emptor, caveat regis.

Consumers also benefit from a provision of the Affordable Care Act that limits out-of-pocket costs, which include deductibles. The limit this year is $6,350 for an individual and $12,700 for a family plan. But in general, the limits apply only to care provided by doctors and hospitals in a plan’s network and do not cap charges for out-of-network care.”

“Dr. Rebecca Love, of Moab, Utah, is well on her way to passing that limit. Dr. Love, 63, who has degenerative arthritis and a host of other health problems, pays $422 a month in premiums for a plan that has a deductible of $6,000. But she has already paid more than $6,000 in medical costs this year that did not count toward her deductible because the doctors and hospitals — more than 100 miles away in Grand Junction, Colo. — were not in her network. (all emphasis added)

Unable to Meet the Deductible or the Doctor
By ABBY GOODNOUGH and ROBERT PEAROCT. 17, 2014

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Deductible Shock Stuns Obamacare Buyers

Comment: Obamacare takes Americans’ money by forcing all Americans to buy things they don’t want, leaving many Americans unable to buy the care they need.

That’s an unavoidable result: Obamacare, adding electronic paperwork, bureaucrats, and middlemen, was the worst possible medicine for a system that was already too costly, bureaucratic, and inefficient.

While high-deductible plans cover most of the costs of severe illnesses and lengthy hospital stays, protecting against catastrophic debt, those plans may compel people to forgo routine care that could prevent bigger, longer-term health issues, according to experts and research.

““They will cause some people to not get care they should get,” Katherine Hempstead, who directs research on health insurance coverage at the Robert Wood Johnson Foundation, said of high-deductible marketplace plans. “Unfortunately, the people who are attracted to the lower premiums tend to be the ones who are going to have the most trouble coming up with all the cost-sharing if in fact they want to use their health insurance.””

“Deductibles for the most popular health plans sold through the new marketplaces are higher than those commonly found in employer-sponsored health plans, according to Margaret A. Nowak, the research director of Breakaway Policy Strategies, a health care consulting company. A survey by the Kaiser Family Foundation found that the average deductible for individual coverage in employer-sponsored plans was $1,217 this year.”

“In comparison, the average deductible for a bronze plan on the exchange — the least expensive coverage — was $5,081 for an individual and $10,386 for a family, according to HealthPocket, a consulting firm. Silver plans, which were the most popular option this year, had average deductibles of $2,907 for an individual and $6,078 for a family.“” (emphasis added)

Unable to Meet the Deductible or the Doctor

By and OCT. 17, 2014
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Obamacare’s Deductible Bait-and-Switch

Comment: Another Obamacare success story–a woman with a brain aneurysm forced to skip preventive care for it, thanks to Obamacare.  (The news isn’t all bad, however. The miracle that is Obamacare ensures that Ms. Wanderlich, 61, is guaranteed pre-natal care and lactation services for free!)

Patricia Wanderlich got insurance through the Affordable Care Act this year, and with good reason: She suffered a brain hemorrhage in 2011, spending weeks in a hospital intensive care unit, and has a second, smaller aneurysm that needs monitoring.”

“But her new plan has a $6,000 annual deductible, meaning that Ms. Wanderlich, who works part time at a landscaping company outside Chicago, has to pay for most of her medical services up to that amount. She is skipping this year’s brain scan and hoping for the best.

Unable to Meet the Deductible or the Doctor
By ABBY GOODNOUGH and ROBERT PEAROCT. 17, 2014

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